Imaging memory and predicting postoperative memory decline in temporal lobe epilepsy: Insights from functional imaging
Autor: | Sophie Dupont |
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Přispěvatelé: | Equipe NEMESIS - Centre de Recherches de l'Institut du Cerveau et de la Moelle épinière (NEMESIS-CRICM), Centre de Recherche de l'Institut du Cerveau et de la Moelle épinière (CRICM), Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Pierre et Marie Curie - Paris 6 (UPMC), CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) |
Rok vydání: | 2014 |
Předmět: |
[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging
[SDV.NEU.NB]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology Hippocampus Neuropsychological Tests Temporal lobe MESH: Magnetic Resonance Imaging Epilepsy Postoperative Complications Functional neuroimaging Predictive Value of Tests MESH: Postoperative Complications medicine [INFO.INFO-IM]Computer Science [cs]/Medical Imaging Humans MESH: Treatment Outcome Memory Disorders MESH: Humans medicine.diagnostic_test Neuropsychology [INFO.INFO-CV]Computer Science [cs]/Computer Vision and Pattern Recognition [cs.CV] Cognition MESH: Neuropsychological Tests medicine.disease MESH: Memory Disorders Magnetic Resonance Imaging MESH: Predictive Value of Tests Functional imaging Treatment Outcome Neurology Epilepsy Temporal Lobe [INFO.INFO-TI]Computer Science [cs]/Image Processing [eess.IV] MESH: Epilepsy Temporal Lobe Wada test Neurology (clinical) Psychology Neuroscience [SPI.SIGNAL]Engineering Sciences [physics]/Signal and Image processing |
Zdroj: | Revue Neurologique Revue Neurologique, Elsevier Masson, 2015, 171 (3), pp.307-14 Revue Neurologique, 2015, 171 (3), pp.307-14 |
ISSN: | 0035-3787 |
Popis: | International audience; After medial temporal lobe epilepsy (MTLE) surgery, there is considerable individual variation in the extent, nature and direction of postoperative memory change. Before surgery, epileptic patients who are surgery candidates need precise information about the potential cognitive after effects, and particularly in temporal lobe epilepsy, postoperative memory changes. Clinical and neuropsychological data may bring useful information to predict the postoperative memory outcome, but, these data are not always sufficient to replace the Wada test, considered for a long time, as the gold standard to predict postoperative decline following surgery. In any case, numerous studies demonstrate that the Wada procedure can be nowadays reliably replaced by functional MRI (fMRI) activation studies. A vast majority of fMRI studies suggest that it is the functional adequacy of the resected hippocampus rather than the functional reserve of the contralateral hippocampus that determines the extent of postoperative memory decline. In addition, new functional neuroimaging procedures that explore more widespread network disruptions commonly found in MTLE such as diffusion-tensor imaging (DTI) or connectivity studies could in the future constitute a reliable approach combined with fMRI activation studies to significantly improve the prediction of postsurgical memory decline. |
Databáze: | OpenAIRE |
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